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IUIS classification of congenital defects of phagocyte number or function (category V inborn errors of immunity)

IUIS classification of congenital defects of phagocyte number or function (category V inborn errors of immunity)
Disease Genetic defect Inheritance OMIM Affected cells Affected function Associated features
Congenital neutropenias
Elastase deficiency (SCN1) Elastase, neutrophil expressed (ELANE) AD 130130 Neutrophils Myeloid differentiation Susceptibility to MDS/leukemia; SCN or cyclic neutropenia
GFI1 deficiency (SCN2) Growth factor independent 1 transcriptional repressor (GFI1) AD 600871 Neutrophils Myeloid differentiation B/T lymphopenia
HAX1 deficiency (Kostmann disease; SCN3) HCLS1-associated protein X-1 (HAX1) AR 605998 Neutrophils Myeloid differentiation Cognitive and neurologic defects in patients with defects in both HAX1 isoforms, susceptibility to MDS/leukemia
G6PC3 deficiency (SCN4) Glucose-6-phosphatase catalytic subunit 3 (G6PC3) AR 611045 Neutrophils Myeloid differentiation, chemotaxis, O2+ production Structural heart defects, urogenital abnormalities, inner ear dearness, venous angiectasias of the trunk and limbs
VPS45 deficiency (SCN5) Vacuolar protein sorting 45 homolog (VPS45) AR 610035 Neutrophils Myeloid differentiation, migration Extramedullary hematopoiesis, bone marrow fibrosis, nephromegaly
Glycogen storage disease type 1b Solute carrier family 37 member 4 (SLC37A4) AR 602671 Neutrophils, monocytes Myeloid differentiation, chemotaxis, O2+ production Fasting hypoglycemia, lactic acidosis, hyperlipidemia, hepatomegaly
X-linked neutropenia/myelodysplasia WASP actin nucleation promoting factor (WAS) XL GOF 300299 Neutrophils Differentiation, mitosis; results from GOF mutations in GTPase binding domain of WASp Neutropenia, myeloid maturation arrest, monocytopenia, variable lymphoid anomalies
P14/LAMTOR2 deficiency Late endosomal/lysosomal adaptor, MAPK and MTOR activator 2 (LAMTOR2) AR 610389 Neutrophils, monocytes Endosomal biogenesis Neutropenia, hypogammaglobulinemia, reduced CD8 cytotoxicity, partial albinism, growth failure
Barth syndrome (3-methylglutaconic aciduria type II) Tafazzin, phospholipid-lysophospholipid transacylase (TAFAZZIN) XL 300394 Neutrophils, lymphocytes, melanocytes Mitochondrial function Cardiomyopathy, myopathy, growth retardation, neutropenia
Cohen syndrome Vacuolar protein sorting 13 homolog B (VPS13B) AR 607817 Neutrophils Myeloid differentiation Dysmorphism, intellectual disability, obesity, deafness, neutropenia
Clericuzio syndrome (poikiloderma with neutropenia) U6 snRNA biogenesis phosphodiesterase 1 (USB1) AR 613276 Neutrophils Myeloid differentiation Retinopathy, developmental delay, facial dysmorphisms, poikiloderma
JAGN1 deficiency Jagunal homolog 1 (JAGN1) AR 616012 Neutrophils Myeloid differentiation Myeloid maturation arrest, osteopenia
3-methylglutaconic aciduria Caseinolytic mitochondrial matrix peptidase chaperone subunit B (CLPB) AR 616254 Neutrophils Myeloid differentiation, mitochondrial protein Neurocognitive developmental aberrations, microcephaly, hypoglycemia, hypotonia, ataxia, seizures, cataracts, IUGR
G-CSF receptor deficiency Colony-stimulating factor 3 receptor (CSF3R) AR 138971 Neutrophils Stress granulopoiesis disturbed  
SMARCD2 deficiency SWI/SNF-related, matrix-associated, actin-dependent regulator of chromatin, subfamily d, member 2 (SMARCD2) AR 601736 Neutrophils Chromatin remodeling, myeloid differentiation, neutrophil functional defect Neutropenia, developmental aberrations, bones, HSCs, myelodysplasia
Specific granule deficiency CCAAT enhancer-binding protein epsilon (CEBPE) AR 189965 Neutrophils Terminal maturation and global dysfunction Neutropenia, neutrophils with bilobed nuclei
Schwachman-Diamond syndrome SBDS ribosome maturation factor (SBDS) AR 607444 Neutrophils Neutrophil maturation, chemotaxis, ribosomal biogenesis Pancytopenia, exocrine pancreatic insufficiency, chondrodysplasia
DnaJ heat-shock protein family (Hsp40) member C21 (DNAJC21) AR 617052 Neutrophils, HSCs Neutrophil maturation, chemotaxis, ribosomal biogenesis Pancytopenia, exocrine pancreatic insufficiency
Elongation factor-like GTPase 1 (EFL1) AR 617941 Neutrophils, HSCs Neutrophil maturation, chemotaxis, ribosomal biogenesis Pancytopenia, exocrine pancreatic insufficiency
HYOU1 deficiency Hypoxia upregulated 1 (HYOU1) AR 601746 Neutrophils Unfolded protein response Hypoglycemia, inflammatory complications
SRP54 deficiency Signal recognition particle 54 (SRP54) AD 604857 Neutrophils Protein translocation to ER, myeloid differentiation, neutrophil functional defect Neutropenia, exocrine pancreatic insufficiency
CXCR2 deficiency C-X-C motif chemokine receptor 2 (CXCR2) AR 619407 Neutrophils Reduced expression of CXCR2 on patient cells, impaired responses to CXCL8 Profound neutropenia, myelokathexis, recurrent gingivitis, oral ulcers, hypergammaglobulinemia
Defects of motility
Leukocyte adhesion deficiency type 1 (LAD1) Integrin subunit beta 1 (ITGB1) AR 600065 Neutrophils, monocytes, lymphocytes, NK cells Adherence, chemotaxis, endocytosis, T/NK cytotoxicity Delayed cord separation, skin ulcers, periodontitis, leukocytosis
Leukocyte adhesion deficiency type 2 (LAD2) Solute carrier family 35 member C1 (SLC35C1) AR 605881 Neutrophils, monocytes Rolling, chemotaxis Mild LAD1 features with hh-blood group, growth retardation, developmental delay
Leukocyte adhesion deficiency type 3 (LAD3) FERM domain-containing kindlin 3 (FERMT3) AR 607901 Neutrophils, monocytes, lymphocytes, NK cells Adherence, chemotaxis LAD1 plus bleeding tendency
Rac2 deficiency Rac family small GTPase 2 (RAC2) AD LOF 608203 Neutrophils Adherence, chemotaxis, O2+ production Poor wound healing, leukocytosis
Beta actin deficiency Actin beta (ACTB) AD 102630 Neutrophils, monocytes Motility Intellectual disability, short stature
Localized juvenile periodontitis Formyl peptide receptor 1 (FPR1) AR 136537 Neutrophils Formylpeptide-induced chemotaxis Periodontitis only
Papillon-Lefèvre syndrome Cathepsin C (CTSC) AR 602365 Neutrophils, monocytes Chemotaxis Periodontitis, palmoplantar hyperkeratosis in some patients
WDR1 deficiency WD repeat domain 1 (WDR1) AR 604734 Neutrophils Spreading, survival, chemotaxis Mild neutropenia, poor wound healing, severe stomatitis, neutrophil nuclei herniate
Cystic fibrosis CF transmembrane conductance regulator (CFTR) AR 602421 Monocytes only Chemotaxis Respiratory infections, pancreatic insufficiency, elevated sweat chloride
Neutropenia with combined immunodeficiency due to MKL1 deficiency Megakaryoblastic leukemia (translocation) 1 (MKL1) AR 606078 Neutrophils, monocytes, lymphocytes, NK cells Impaired expression of cytoskeletal genes Mild thrombocytopenia
Defects of respiratory burst
XL chronic granulomatous disease (CGD), gp91phox Cytochrome b-245 beta chain (CYBB) XL 306400 Neutrophils, monocytes Killing (faulty O2+ production) Infections, autoinflammatory phenotype, IBD; McLeod phenotype in patients with deletions extending into the contiguous Kell locus
AR CGD Cytochrome b-245 alpha chain (CYBA) AR 608508 Neutrophils, monocytes Killing (faulty O2+ production) Infections, autoinflammatory phenotype
Cytochrome b-245 chaperone 1 (CYBC1) AR 618334 Neutrophils, monocytes Killing (faulty O2+ production) Infections, autoinflammatory phenotype
Neutrophil cytosolic factor 1 (NCF1) AR 608512 Neutrophils, monocytes Killing (faulty O2+ production) Infections, autoinflammatory phenotype
Neutrophil cytosolic factor 2 (NCF2) AR 608515 Neutrophils, monocytes Killing (faulty O2+ production) Infections, autoinflammatory phenotype
Neutrophil cytosolic factor 4 (NCF4) AR 613960 Neutrophils, monocytes Killing (faulty O2+ production) Infections, autoinflammatory phenotype
G6PD deficiency class I Glucose-6-phosphate dehydrogenase (G6PD) XL 305900 Neutrophils Reduced O2- production Infections
Other nonlymphoid defects
GATA2 deficiency GATA-binding protein 2 (GATA2) AD 137295 Monocytes, peripheral DCs Multilineage cytopenias Susceptibility to mycobacterial, HPV, histoplasmosis, alveolar proteinosis, MDS/AML/CMML, lymphedema
Pulmonary alveolar proteinosis Colony-stimulating factor 2 receptor subunit alpha (CSF2RA) XL (biallelic mutations in pseudoautosomal gene) 300770 Alveolar macrophages GM-CSF signaling Alveolar proteinosis
Colony-stimulating factor 2 receptor subunit beta (CSF2RB) AR 614370 Alveolar macrophages GM-CSF signaling Alveolar proteinosis
Total number of mutant genes in table: 42.
IUIS: International Union of Immunological Societies; SCN: severe congenital neutropenia; AD: autosomal dominant; MDS: myelodysplastic syndrome; AR: autosomal recessive; XL: X linked; GOF: gain of function; WASp: Wiskott-Aldrich syndrome protein; CD: cluster of differentiation; snRNA: small nucleoside ribonucleic acid; IUGR: intrauterine growth restriction, G-CSF: granulocyte colony-stimulating factor; HSC: hematopoietic stem cell; ER: endoplasmic reticulum; CXCL8: C-X-C motif chemokine ligand 8; NK: natural killer; LOF: loss of function; IBD: inflammatory bowel disease; DC: dendritic cell; HPV: human papillomavirus; AML: acute myeloid leukemia; CMML: chronic myelomonocytic leukemia; GM-CSF: granulocyte-macrophage colony-stimulating factor.
From: Tangye SG, Al-Herz W, Bousfiha A, et al. Human inborn errors of immunity: 2022 update on the classification from the International Union of Immunological Societies Expert Committee. J Clin Immunol 2022; 42:1473. Copyright © 2022 The Authors. Reproduced under the terms of the Creative Commons Attribution License 4.0.
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